Organization Active NPI

Grancare, LLC

  • Adult Day Care Clinic/Center
  • Grenada, MS
National Provider Identifier
1669757944
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GRANCARE, LLC
Practice address
347 Tatum Ave
Grenada, MS 38901-4632
Phone
(662) 226-8878
Fax
(662) 226-8879
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronnie Respess
Title
General Partner
Phone
(662) 226-8878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

347 Tatum Ave
Grenada, MS 38901-4632

Mailing address

347 Tatum Ave
Grenada, MS 38901-4632
Phone (662) 226-8878

National Provider Directory

National Provider Directory

Locations

347 Tatum Ave
Grenada, MS 38901
Phone (662) 226-1681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1669757944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 TATUM AVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014632",
            "telephone_number": "662-226-8878",
            "fax_number": "662-226-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 TATUM AVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014632",
            "telephone_number": "662-226-8878",
            "fax_number": "662-226-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "RESPESS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "662-226-8878"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.